How to Give a Rectal Exam|HEALTH GYM
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A digital anorectal exam is a screening test for both genders that helps to detect abnormalities in the rectum, anus, and prostate gland (men only), such as cancer, infections and various injuries. Anorectal exams should be done fairly regularly (yearly or so) as part of your health physical. Trained medical professionals are the only people who should give anorectal exams. Untrained individuals can injure the delicate rectal / anal tissues while probing.
Explain the procedure and make sure consent is provided. If you are a medical professional who will be performing an anorectal exam, then your first step should be to explain to your patient what the exam entails. Then, have the patient sign a consent form if they agree to undergo the procedure.
You could explain the procedure by saying something like, “For this exam, I will be inserting a gloved finger into your rectum to check for abnormalities. You may experience some pressure and/or discomfort, but the exam only take a minute or two.
Sanitize your hands and wear gloves. Before performing any type of physical exam on a patient / person it's important to wash and sanitize your hands because you don't want to transfer any bacteria, viruses or parasites to them. Using warm water with soap is usually adequate, but you may want to use an alcohol-based sanitizing gel also. Dry your hands thoroughly and then put on a new pair of nitrile or latex-free examination gloves.
In the medical field, digital rectal exams (DRE) are typically done by your family doctor, gynecologist, proctologist, or nurse practitioner.
Proctology is the branch of medicine that deals with problems of the anus, rectum and colon.
Reassure the patient / person and tell them to lay on their side. Giving and receiving a digital rectal exam can be awkward or embarrassing for people, so acting professional and reassuring the patient / person is important. After explaining the procedure in general, ask the patient / person to remove their bottoms, lay of their side (typically left side down), bend their knees and place their hands near their chest — this is essentially the fetal position or on their left side with their knees flexed. Keep them covered with a gown or blanket for privacy and warmth. Place a protective pad under their buttocks as well.
DRE can be done with the patient / person standing. Women may be examined as part of the pelvic exam therefore they may be laying back with their feet in stirrups. Men are often examined while they are standing up, unless they are feeling nervous and then laying down may be more comfortable. Laying on their side is often more relaxing and provides better access to the anal canal.
To feel more comfortable, it may be best to have a DRE carried out by someone of the same gender. Man on man or woman on woman, a request for a nurse to be present is also an option.
It may also help ease anxiety and vulnerability to have a friend or family member present during the exam.
Position and drape the patient for warmth as well as privacy.
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